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, but some of it is definitely the affordable care act and it's changed the psychology of healthcare that we really have to get serious about controlling costs and doing better for people by controlling costs. one of the places we'll see a big, big difference is attention to people with chronic illness. knows are the people who use the health care system. and the best places now are really focusing on them, predicting who they are, giving them a lot of services. i refer to it as v.i.p. care for people with chronic and mental illness. that will be the wave of the future. >> gene? >> zeke, last time you and i talked about the affordable care act, you said president obama should have appointed a ceo to roll out the program and make sure that it functioned the way it should. >> right, right. >> is that still a valid criticism, still your criticism? how do you think things are going now? >> it's not a criticism. in 2010 when we passed a legislation and i was still in the white house, it was a suggestion. look, the website and the exchanges are really an e-commerce business and need to be run like
benefits stipulated under the affordable care act like exchange plans do. the president back pedalled in november after the public outcry from folks who received cancellation notices during the botched rollout of healthcare.gov. >> the bottom line is insurers can extend plans that would otherwise have been cancelled in 2014 and can choose to reenroll from the same kind of plan. >> no comment from the white house or health officials but last fall the administration did give itself the option to extend beyond 2014. open enrollment runs through this month and insurers are expecting another big surge in signups at the last minute, larry, barring an extension of the open enrollment period itself. >> which is going to happen. there is going to be an extension just as the president has extended the renewals of the originally cancelled policies. all this creates, in my view, it's my editorial, confusion, uncertainty and it's expensive to keep rewriting these policies. >> right now as they go into the spring they need to think about how they're going to price their plans. mark bert lienee said
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